govt.fyi
Washington Legislature · E2SSB 5395 · C 157 L 26

Making improvements to transparency and accountability in the prior authorization determination process.

Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.

Officially: “Making improvements to transparency and accountability in the prior authorization determination process. Read the full text

Official title shown verbatim from the official record. Plain-language summary coming as coverage deepens. Not legal advice.
2026 session

Where it is

Show all 49 actions
First reading, referred to Health & Long-Term Care. · Jan 21, 2025
HLTC - Majority; 1st substitute bill be substituted, do pass. · Feb 21, 2025
And refer to Ways & Means. · Feb 21, 2025
Minority; without recommendation. · Feb 21, 2025
Referred to Ways & Means. · Feb 21, 2025
HLTC - Majority; 1st substitute bill be substituted, do pass. · Feb 21, 2025
And refer to Ways & Means. · Feb 21, 2025
Minority; without recommendation. · Feb 21, 2025
Referred to Ways & Means. · Feb 21, 2025
By resolution, reintroduced and retained in present status. · Jan 12, 2026
By resolution, reintroduced and retained in present status. · Jan 12, 2026
WM - Majority; 2nd substitute bill be substituted, do pass. · Jan 27, 2026
Minority; without recommendation. · Jan 27, 2026
WM - Majority; 2nd substitute bill be substituted, do pass. · Jan 27, 2026
Minority; without recommendation. · Jan 27, 2026
WM - Majority; 2nd substitute bill be substituted, do pass. · Jan 27, 2026
Minority; without recommendation. · Jan 27, 2026
Passed to Rules Committee for second reading. · Jan 29, 2026
Passed to Rules Committee for second reading. · Jan 29, 2026
Passed to Rules Committee for second reading. · Jan 29, 2026
Placed on second reading by Rules Committee. · Feb 6, 2026
Placed on second reading by Rules Committee. · Feb 6, 2026
Placed on second reading by Rules Committee. · Feb 6, 2026
2nd substitute bill substituted. · Feb 11, 2026
2nd substitute bill substituted. · Feb 11, 2026
2nd substitute bill substituted. · Feb 11, 2026
Floor amendment(s) adopted. · Feb 11, 2026
Rules suspended. Placed on Third Reading. · Feb 11, 2026
Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. · Feb 11, 2026
First reading, referred to Health Care & Wellness. · Feb 14, 2026
HCW - Executive action taken by committee. · Feb 25, 2026
HCW - Majority; do pass with amendment(s). · Feb 25, 2026
Minority; without recommendation. · Feb 25, 2026
Referred to Appropriations. · Feb 25, 2026
APP - Executive action taken by committee. · Mar 2, 2026
APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. · Mar 2, 2026
Referred to Rules 2 Review. · Mar 2, 2026
Rules Committee relieved of further consideration. Placed on second reading. · Mar 4, 2026
Committee amendment(s) adopted with no other amendments. · Mar 4, 2026
Rules suspended. Placed on Third Reading. · Mar 4, 2026
Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4. · Mar 4, 2026
Senate concurred in House amendments. · Mar 9, 2026
Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. · Mar 9, 2026
President signed. · Mar 10, 2026
Speaker signed. · Mar 11, 2026
Delivered to Governor. · Mar 12, 2026
Governor signed. · Mar 23, 2026
Chapter 157, 2026 Laws. · Mar 23, 2026
Effective date 6/11/2026*. · Mar 23, 2026

The numbers

6
sponsors on the bill

Sponsors

Tina OrwallRon MuzzallBob HasegawaLiz LovelettT'wina NoblesVandana Slatter

Recorded votes

Final Passage as Amended by the HouseSenate · 2026-03-09 · Yea 49, Nay 0, Absent 0, Excused 0
Final Passage as Amended by the HouseHouse · 2026-03-04 · Yea 94, Nay 0, Absent 0, Excused 4
3rd Reading & Final PassageSenate · 2026-02-11 · Yea 48, Nay 1, Absent 0, Excused 0
Roll-call results shown verbatim from the Washington legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Effective date 6/11/2026*. (Mar 23, 2026).